SOBRE Laparoscopic surgical alternative for the treatment of ruptured cornual heterotopic pregnancy Case report
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Case Description
A 35-year-old woman with a history of intrauterine device use for family planning presented with a spontaneously conceived heterotopic pregnancy.
Clinical Findings
The patient developed a ruptured cornual ectopic pregnancy, leading to hemodynamic instability and an acute abdomen, while concurrently carrying a viable intrauterine pregnancy.
Treatment and Outcome
A laparoscopic intervention was performed to manage the ruptured ectopic pregnancy. The surgical technique employed minimized the impact on maternal blood volume, ensuring patient stabilization and favorable progression of the intrauterine pregnancy.
Clinical Relevance
Heterotopic pregnancy is the coexistence of gestation in two different implantation sites, both intrauterine and extrauterine. This condition is associated with significant maternal morbidity and mortality. Management remains a challenge due to the lack of consensus and limited clinical experience. The primary goal is maternal stabilization while preserving the intrauterine pregnancy whenever possible. This case highlights the importance of modern surgical strategies tailored to optimize maternal and fetal outcomes.
- Heterotopic pregnancy
- Abortion, Threatened
- Abdomen, Acute
- Uterine Rupture
- Laparoscopy
- Fertilization in Vitro
- Clomiphene
Enrique Herrera Castañeda, Universidad del Valle
https://orcid.org/0000-0003-1308-8083
Departamento de Ginecología y Obstetricia, Facultad de Salud, Universidad del Valle, Cali, Colombia
Gustavo Luna, Clínica Imbanaco, Cali, Colombia
https://orcid.org/0009-0006-4472-1522
Clínica Imbanaco, Cali, Colombia
Luisa Maria Vacca Orrego, a:1:{s:5:"en_US";s:2:"MD";}
Médico y Cirujano de Universidad Libre Cali
Residente de IV año de Ginecología y Obstetricia Universidad del valle
Jessica Sejnaui Sayegh, Universidad del Valle, Facultad de Salud, Departamento de Ginecología y Obstetricia, Cali, Colombia
https://orcid.org/0009-0007-4577-2660
Universidad del Valle , Facultad de Salud, Departamento de Ginecología y Obstetricia, Cali, Colombia
Luisa M. Vacca Orrego, Universidad del Valle , Facultad de Salud, Departamento de Ginecología y Obstetricia, Cali, Colombia
https://orcid.org/0000-0002-4923-1067
Universidad del Valle , Facultad de Salud, Departamento de Ginecología y Obstetricia, Cali, Colombia
Juan Manuel Tobar Parra, Universidad del Valle , Facultad de Salud, Departamento de Ginecología y Obstetricia, Cali, Colombia
https://orcid.org/0000-0003-4094-5220
Universidad del Valle , Facultad de Salud, Departamento de Ginecología y Obstetricia, Cali, Colombia
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